Anandan J V, Isopi M J, Warren A J
Department of Pharmacy Services, Henry Ford Hospital, Detroit, MI 48202.
Am J Hosp Pharm. 1993 Nov;50(11):2339-43.
The development and implementation of a fee structure for a pharmacy-coordinated investigational drug service is described. A pilot task and time study established specific time and cost elements for investigational drug services provided by the pharmacy department. To fully assess the costs in dispensing investigational drugs, each research study that used the investigational drug service was broken down into five phases of service. Each phase was further categorized by specific tasks or activities, and a time element to perform each activity or task was determined. Since some studies could require more elaborate randomization of patients, more extensive review of protocols, or more individualized dispensing procedures than others, a range of charges was derived: $2800 for standard protocols to $5700 for more complicated studies. An institutional drug therapy newsletter describing the services and costs was distributed to all medical staff members and principal investigators. The development of a fee structure for an investigational drug service coordinated by the pharmacy department has ensured that pharmacy services are adequately reimbursed and has allowed the department to allocate appropriate personnel to provide the services.
本文描述了药房协调的研究性药物服务收费结构的制定与实施。一项试点任务和时间研究确定了药房部门提供研究性药物服务的具体时间和成本要素。为了全面评估分发研究性药物的成本，每项使用研究性药物服务的研究都被细分为五个服务阶段。每个阶段又根据具体任务或活动进一步分类，并确定了执行每项活动或任务的时间要素。由于有些研究可能比其他研究需要更精细的患者随机分组、更广泛的方案审查或更个性化的配药程序，因此得出了一系列收费标准：标准方案收费2800美元，更复杂的研究收费5700美元。一份描述服务和成本的机构药物治疗通讯分发给了所有医务人员和主要研究者。由药房部门协调的研究性药物服务收费结构的制定，确保了药房服务得到充分补偿，并使该部门能够分配适当的人员来提供这些服务。
